DR. LAV A KAPADIA (MD) – Otolaryngology Physician, NPI 1437153418

DR. LAV A KAPADIA (MD) is a healthcare provider. based in Frisco, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. J8618 (TX). The NPI Number for DR. LAV A KAPADIA (MD) is 1437153418

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAV A KAPADIA (MD)
NPI
1437153418
Phone
(972) 731-7654
Address
4401 COIT RD
Enumeration Date
8 June 2005
Last Update Date
2 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
9727317654
Graduation Year
1994 (32 years ago)
PAC ID
7113838459
Group Practice PAC ID
5799770202
Professional Enrollment ID
I20080311000418
Address ID
TX750350520FR4401XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

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Provider Addresses for DR. LAV A KAPADIA (MD)

  • 4401, Coit Road, Frisco, Collin County, Texas, 75035, United States

    SUITE 411

    FRISCO, TX 750350500

    Phone: (972) 731-7654

    Fax: (972) 731-6226

    Type: Location

  • 10740 N GESSNER RD STE 310

    HOUSTON, TX 770641240

    Phone: (281) 897-0416

    Fax: (800) 876-1456

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $680.

Total Amount is formed as General ($680) + Research ($0) + Ownership ($0) = $680.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($141).

Total Amount

$680

General + Research + Ownership

Payments

23

Total payment records

General Amount

$680

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080311000418IOtolaryngologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes264201$0
99213Established patient office or other outpatient visit, 20-29 minutes216179$0
31231Diagnostic exam of nasal passages using an endoscope191149$0
69210Removal of impacted ear wax176137$0
31575Diagnostic exam of voice box using a flexible endoscope157131$0
View full utilization report →

Insurance plans in this area (ZIP 75035)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799770202View full group profile
NameSpecialtyState
-TX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
Physician AssistantTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
-TX
Qualified AudiologistTX

Reviews

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Frequently asked questions

How do payers reference DR. LAV A KAPADIA (MD)?
For DR. LAV A KAPADIA (MD), use NPI 1437153418 as the unique 10-digit identifier.
Is there an active status for DR. LAV A KAPADIA (MD)?
For scheduling context, DR. LAV A KAPADIA (MD) is shown as active in the registry.
What clinical focus is listed for DR. LAV A KAPADIA (MD)?
At a glance, DR. LAV A KAPADIA (MD) is tied to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is DR. LAV A KAPADIA (MD) located near Frisco?
DR. LAV A KAPADIA (MD) currently maps to Frisco, Texas in this extract.
Does DR. LAV A KAPADIA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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